After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?
Charges
Contractual allowance
Prospective reimbursement
Cost-based reimbursement
The Correct Answer is A
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The core concepts of informatics—data, information, and knowledge—are fundamental for understanding how to manage and use information in healthcare settings.
B. While hardware and software are important, they are not the foundational concepts of informatics.
C. Decision making, data gathering, and reporting are part of the informatics process but do not encompass the core concepts themselves.
D. Wireless technology, voice recognition, and handheld devices are tools used in informatics but do not represent its core concepts.
Correct Answer is ["A","B","C","E"]
Explanation
A. Unplugging the cord by grasping the plug prevents damage to the cord and reduces the risk of electric shock.
B. A three-pronged plug ensures a ground connection, which helps prevent electrical shock.
C. Avoiding rolling equipment over extension cords reduces the risk of damage to both the cords and equipment, which can lead to electrical hazards.
D. Plugging in the pump close to the sink increases the risk of water exposure, which can lead to electrical hazards and should be avoided.
E. Disconnecting electrical equipment before cleaning ensures that there is no electrical current present, minimizing the risk of electric shock while cleaning.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
